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  1. Article: DAS ENTFREMDETE SELBST. Von einer Depersonalisationsstörung Betroffene nehmen sich selbst und ihre Umgebung als unwirklich und fremd wahr. Marco Canterino und Matthias Michal von der Universitätsklink Mainz berichten, warum Ärzte und Psychologen die Erkrankung häufig falsch einschätzen

    Canterino, Marco / Michal, Matthias

    Gehirn & Geist

    2011  Volume -, Issue 5, Page(s) 70

    Language German
    Document type Article
    ZDB-ID 2072879-7
    ISSN 1618-8519
    Database Current Contents Medicine

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  2. Article ; Online: Transfer of manualized Short Term Psychodynamic Psychotherapy (STPP) for social phobia into clinical practice

    Leweke Frank / Joraschky Peter / Leichsenring Falk / Canterino Marco / Haselbacher Antje / Ruckes Christian / Wiltink Jörg / Pöhlmann Karin / Beutel Manfred E

    Trials, Vol 12, Iss 1, p

    study protocol for a cluster-randomised controlled trial

    2011  Volume 142

    Abstract: Abstract Background Psychodynamic psychotherapy is frequently applied in the treatment of social phobia. Nevertheless, there has been a lack of studies on the transfer of manualized treatments to routine psychodynamic practice. Our study is the first one ...

    Abstract Abstract Background Psychodynamic psychotherapy is frequently applied in the treatment of social phobia. Nevertheless, there has been a lack of studies on the transfer of manualized treatments to routine psychodynamic practice. Our study is the first one to examine the effects of additional training in a manualized Short Term Psychodynamic Psychotherapy (STPP) procedure on outcome in routine psychotherapy for social phobia. This study is an extension to a large multi-site RCT (N = 512) comparing the efficacy of STPP to Cognitive-Behavioral Therapy (CBT) of Social Phobia. Methods/Design The manualized treatment is designed for a time limited approach with 25 individual sessions of STPP over 6 months. Private practitioners will be randomized to training in manualized STPP vs. treatment as usual without a specific training (control condition). We plan to enrol a total of 105 patients (84 completers). Assessments will be conducted before treatment starts, after 8 and 15 weeks, after 25 treatment sessions, at the end of treatment, 6 months and 12 months after termination of treatment. The primary outcome measure is the Liebowitz Social Anxiety Scale. Remission from social phobia is defined scoring with 30 or less points on this scale. Discussion We will investigate how the treatment can be transferred from a controlled trial into the less structured setting of routine clinical care. This question represents Phase IV of psychotherapy research. It combines the benefits of randomized controlled and naturalistic research. The study is genuinely designed to promote faster and more widespread dissemination of effective interventions. It will answer the questions whether manualized STPP can be implemented into routine outpatient care, whether the new methods improve treatment courses and outcomes and whether treatment effects reached in routine psychotherapeutic treatments are comparable to those of the controlled, strictly manualized treatment of the main study. Trial Registration German Clinical Trials Register (DRKS) ...
    Keywords Medicine (General) ; R5-920
    Language English
    Publishing date 2011-06-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Depersonalization disorder: disconnection of cognitive evaluation from autonomic responses to emotional stimuli.

    Michal, Matthias / Koechel, Ansgar / Canterino, Marco / Adler, Julia / Reiner, Iris / Vossel, Gerhard / Beutel, Manfred E / Gamer, Matthias

    PloS one

    2013  Volume 8, Issue 9, Page(s) e74331

    Abstract: Background: Patients with depersonalization disorder (DPD) typically complain about emotional detachment. Previous studies found reduced autonomic responsiveness to emotional stimuli for DPD patients as compared to patients with anxiety disorders. We ... ...

    Abstract Background: Patients with depersonalization disorder (DPD) typically complain about emotional detachment. Previous studies found reduced autonomic responsiveness to emotional stimuli for DPD patients as compared to patients with anxiety disorders. We aimed to investigate autonomic responsiveness to emotional auditory stimuli of DPD patients as compared to patient controls. Furthermore, we examined the modulatory effect of mindful breathing on these responses as well as on depersonalization intensity.
    Methods: 22 DPD patients and 15 patient controls balanced for severity of depression and anxiety, age, sex and education, were compared regarding 1) electrodermal and heart rate data during a resting period, and 2) autonomic responses and cognitive appraisal of standardized acoustic affective stimuli in two conditions (normal listening and mindful breathing).
    Results: DPD patients rated the emotional sounds as significantly more neutral as compared to patient controls and standardized norm ratings. At the same time, however, they responded more strongly to acoustic emotional stimuli and their electrodermal response pattern was more modulated by valence and arousal as compared to patient controls. Mindful breathing reduced severity of depersonalization in DPD patients and increased the arousal modulation of electrodermal responses in the whole sample. Finally, DPD patients showed an increased electrodermal lability in the rest period as compared to patient controls.
    Conclusions: These findings demonstrated that the cognitive evaluation of emotional sounds in DPD patients is disconnected from their autonomic responses to those emotional stimuli. The increased electrodermal lability in DPD may reflect increased introversion and cognitive control of emotional impulses. The findings have important psychotherapeutic implications.
    MeSH term(s) Acoustic Stimulation ; Adult ; Arousal/physiology ; Autonomic Nervous System/physiopathology ; Case-Control Studies ; Cognition/physiology ; Depersonalization/physiopathology ; Emotions/physiology ; Female ; Galvanic Skin Response/physiology ; Heart Rate/physiology ; Humans ; Male ; Mindfulness ; Psychometrics ; Respiration ; Rest ; Time Factors
    Language English
    Publishing date 2013-09-13
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 1932-6203
    ISSN (online) 1932-6203
    DOI 10.1371/journal.pone.0074331
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Regulation of emotions in the community: suppression and reappraisal strategies and its psychometric properties.

    Wiltink, Jörg / Glaesmer, Heide / Canterino, Marco / Wölfling, Klaus / Knebel, Achim / Kessler, Henrik / Brähler, Elmar / Beutel, Manfred E

    Psycho-social medicine

    2011  Volume 8, Page(s) Doc09

    Abstract: Objective: The German Version of the Emotion Regulation Questionnaire (ERQ) has recently been published. The questionnaire investigates two common emotion regulation strategies (10 items) on two scales (suppression, reappraisal). Major aims of the study ...

    Abstract Objective: The German Version of the Emotion Regulation Questionnaire (ERQ) has recently been published. The questionnaire investigates two common emotion regulation strategies (10 items) on two scales (suppression, reappraisal). Major aims of the study were to assess the reliability and factor structure of the ERQ, to determine population based norms and to investigate relations of suppression and reappraisal to anxiety, depression and demographic characteristics.
    Methods: In a representative community study (N=2524) we assessed emotion regulation strategies, anxiety, depression (Hospital Anxiety and Depression Scale), and demographic variables. The mean age of the participants was 49.4 (SD 18.2) years. 55.5% were female. The age-groups were represented in comparable proportions. The representativeness of the sample was ensured by drawings of ADM (Arbeitskreis Deutscher Marktforscher) samples und by comparison with the data of German Federal Statistical Office.
    Results: Confirmatory factor analysis could not fully confirm the original factor structure, we kept the original scaling, except a modification regarding item 8. Internal consistencies were acceptable for the original and the modified version: reappraisal (Cronbach's alpha = 0.82) and suppression (alpha = 0.76). Norms are presented as percentile scores for age groups and gender. Reappraisal correlated negative with anxiety and depression, whereas we could find a positive relationship of suppression with anxiety and depression. In a linear regression model suppression was predicted by depression, a lower level of education, male gender, and lower income.
    Conclusions: The ERQ is a short instrument to assess emotion regulation strategies economically, e.g. in larger community based studies. We could demonstrate sufficient psychometric properties of the German version of the ERQ: reliability, factor structure and indicators for construct validity. Because of the cross sectional character of our study it remains unclear whether reappraisal is protective and suppression is unfavourable regarding mental health or whether life circumstances and psychic symptoms lead to a suppression of emotions.
    Language English
    Publishing date 2011-12-21
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 2152112-8
    ISSN 1860-5214 ; 1860-5214 ; 1614-2934
    ISSN (online) 1860-5214
    ISSN 1860-5214 ; 1614-2934
    DOI 10.3205/psm000078
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Transfer of manualized Short Term Psychodynamic Psychotherapy (STPP) for social phobia into clinical practice: study protocol for a cluster-randomised controlled trial.

    Wiltink, Jörg / Ruckes, Christian / Haselbacher, Antje / Canterino, Marco / Leichsenring, Falk / Joraschky, Peter / Leweke, Frank / Pöhlmann, Karin / Beutel, Manfred E

    Trials

    2011  Volume 12, Page(s) 142

    Abstract: Background: Psychodynamic psychotherapy is frequently applied in the treatment of social phobia. Nevertheless, there has been a lack of studies on the transfer of manualized treatments to routine psychodynamic practice. Our study is the first one to ... ...

    Abstract Background: Psychodynamic psychotherapy is frequently applied in the treatment of social phobia. Nevertheless, there has been a lack of studies on the transfer of manualized treatments to routine psychodynamic practice. Our study is the first one to examine the effects of additional training in a manualized Short Term Psychodynamic Psychotherapy (STPP) procedure on outcome in routine psychotherapy for social phobia. This study is an extension to a large multi-site RCT (N = 512) comparing the efficacy of STPP to Cognitive-Behavioral Therapy (CBT) of Social Phobia.
    Methods/design: The manualized treatment is designed for a time limited approach with 25 individual sessions of STPP over 6 months. Private practitioners will be randomized to training in manualized STPP vs. treatment as usual without a specific training (control condition). We plan to enrol a total of 105 patients (84 completers). Assessments will be conducted before treatment starts, after 8 and 15 weeks, after 25 treatment sessions, at the end of treatment, 6 months and 12 months after termination of treatment. The primary outcome measure is the Liebowitz Social Anxiety Scale. Remission from social phobia is defined scoring with 30 or less points on this scale.
    Discussion: We will investigate how the treatment can be transferred from a controlled trial into the less structured setting of routine clinical care. This question represents Phase IV of psychotherapy research. It combines the benefits of randomized controlled and naturalistic research. The study is genuinely designed to promote faster and more widespread dissemination of effective interventions. It will answer the questions whether manualized STPP can be implemented into routine outpatient care, whether the new methods improve treatment courses and outcomes and whether treatment effects reached in routine psychotherapeutic treatments are comparable to those of the controlled, strictly manualized treatment of the main study.
    Trial registration: German Clinical Trials Register (DRKS) DRKS00000570.
    MeSH term(s) Cluster Analysis ; Germany ; Humans ; Phobic Disorders/diagnosis ; Phobic Disorders/psychology ; Phobic Disorders/therapy ; Psychiatric Status Rating Scales ; Psychotherapy, Brief ; Research Design ; Time Factors ; Treatment Outcome
    Language English
    Publishing date 2011-06-08
    Publishing country England
    Document type Journal Article ; Multicenter Study ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't
    ZDB-ID 2040523-6
    ISSN 1745-6215 ; 1468-6694 ; 1468-6708
    ISSN (online) 1745-6215 ; 1468-6694
    ISSN 1468-6708
    DOI 10.1186/1745-6215-12-142
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Depersonalization disorder

    Michal, Matthias / Koechel, Ansgar / Canterino, Marco / Adler, Julia / Reiner, Iris / Vossel, Gerhard / Beutel, Manfred E. / Gamer, Matthias

    PLoS ONE

    Disconnection of cognitive evaluation from autonomic responses to emotional stimuli

    2013  Volume 8, Issue 9, Page(s) No

    Abstract: Investigated autonomic responsiveness to emotional auditory stimuli of patients with depersonalization disorder (DPD), and examined the modulatory effect of mindful breathing on these responses as well as on depersonalization intensity. 22 DPD patients ( ... ...

    Title translation Depersonalisationsstörung: Entkopplung der kognitiven Bewertung von vegetativen Reaktionen auf emotionale Reize
    Abstract Investigated autonomic responsiveness to emotional auditory stimuli of patients with depersonalization disorder (DPD), and examined the modulatory effect of mindful breathing on these responses as well as on depersonalization intensity. 22 DPD patients (mean age 30 years) and 15 patient controls (mean age 29 years) balanced for severity of depression and anxiety, age, sex and education, were compared regarding (1) electrodermal and heart rate data during a resting period, and (2) autonomic responses and cognitive appraisal of standardized acoustic affective stimuli in two conditions (normal listening and mindful breathing). Moreover, participants completed German versions of the Cambridge Depersonalization Scale (CDS), the Dissociative Experiences Scale (DES), the State-Trait Anxiety Inventory (STAI), the Beck Depression Inventory (BDI-II), the Childhood Trauma Questionnaire (CTQ), and the Mindful Attention Awareness Scale (MAAS). Results show that DPD patients rated the emotional sounds as significantly more neutral as compared to patient controls and standardized norm ratings. At the same time, however, they responded more strongly to acoustic emotional stimuli and their electrodermal response pattern was more modulated by valence and arousal as compared to patient controls. Mindful breathing reduced severity of depersonalization in DPD patients and increased the arousal modulation of electrodermal responses in the whole sample. Finally, DPD patients showed an increased electrodermal lability in the rest period as compared to patient controls. It is concluded that the cognitive evaluation of emotional sounds in DPD patients is disconnected from their autonomic responses to those emotional stimuli. The increased electrodermal lability in DPD is thought to possibly reflect increased introversion and cognitive control of emotional impulses.
    Keywords Achtsamkeit ; Affective Valence ; Atmung ; Auditive Stimulation ; Auditory Stimulation ; Autonomic Nervous System ; Cognitive Appraisal ; Depersonalisation ; Depersonalization ; Dissociative Disorders ; Dissoziative Störungen ; Emotionale Valenz ; Hautwiderstand ; Heart Rate ; Herzfrequenz ; Kognitive Bewertung (Emotionspsychologie) ; Mindfulness ; Physiological Arousal ; Physiologische Aktivierung ; Respiration ; Skin Resistance ; Vegetatives Nervensystem
    Language English
    Document type Article
    ZDB-ID 2267670-3
    ISSN 1932-6203
    ISSN 1932-6203
    DOI 10.1371/journal.pone.0074331
    Database PSYNDEX

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  7. Article ; Online: Regulation of emotions in the community: suppression and reappraisal strategies and its psychometric properties

    Wiltink, Jörg / Glaesmer, Heide / Canterino, Marco / Wölfling, Klaus / Knebel, Achim / Kessler, Henrik / Brähler, Elmar / Beutel, Manfred E.

    GMS Psycho-Social-Medicine

    2011  Volume 8, Page(s) 9

    Abstract: Zielsetzung: Mit dem Emotion Regulation Questionnaire (ERQ) liegt ein deutschsprachiges, validiertes Kurzverfahren mit 10 Items zur Erfassung gewohnheitsmäßiger Präferenzen von Strategien zur Emotionsregulation (expressive Unterdrückung und Neubewertung) ...

    Title translation Emotionsregulation in der Allgemeinbevölkerung: Verwendung von Strategien zur Unterdrückung und Neubewertung von Emotionen und ihre psychometrischen Merkmale
    Abstract Zielsetzung: Mit dem Emotion Regulation Questionnaire (ERQ) liegt ein deutschsprachiges, validiertes Kurzverfahren mit 10 Items zur Erfassung gewohnheitsmäßiger Präferenzen von Strategien zur Emotionsregulation (expressive Unterdrückung und Neubewertung) vor. Ziele der Studie waren die Untersuchung der Reliabilität und Faktorenstruktur des Verfahrens, Ermittlung von Alters- und Geschlechtsnormen und Überprüfung des Zusammenhangs beider Skalen mit Angst und Depression, sowie soziodemographischen Merkmalen.
    Methodik: In einer repräsentativen Befragung an 2524 Personen aus der deutschen Allgemeinbevölkerung wurden neben den Strategien zur Emotionsregulation (ERQ) auch Angst und Depression als psychische Störungen (Hospital Anxiety and Depression Scale, HADS) sowie soziodemographische Merkmale erfasst. Das Durchschnittsalter der Teilnehmer war 49,4 (SD 18,2) Jahre, 55,5% waren weiblich. Die Altersgruppen waren in vergleichbaren Proportionen vertreten. Die Repräsentativität der Stichprobe wurde durch die Ziehung von ADM-Stichproben (Arbeitskreis Deutscher Marktforscher) und durch Vergleich mit den Angaben des statistischen Bundesamtes gesichert.
    Ergebnisse: Obwohl die Faktorenstruktur durch eine konfirmatorische Faktorenanalyse nicht voll bestätigt werden konnte (komplexe Ladungen bei Item 8), wurde die ursprüngliche Faktorenstruktur aus Gründen der Vergleichbarkeit nur geringfügig bzgl. Item 8 modifiziert. Die internen Konsistenzen waren für beide Skalen akzeptabel (Cronbach’s alpha = 0,82 bzw. 0,76, sowohl für die ursprüngliche, als auch für die modifizierte Version). Die Bevölkerungsnormen werden anhand von Prozenträngen getrennt für Altersgruppen und Geschlecht mitgeteilt. Neubewertung korrelierte negativ mit Angst und Depressivität, Unterdrückung dagegen positiv. Unterdrückung wurde in einer linearen Regressionsanalyse vorhergesagt durch Depressivität, geringeres Bildungsniveau, männliches Geschlecht und geringeres Haushaltseinkommen.
    Fazit: Die Kürze des Fragebogens macht den ERQ zu einem ökonomischen Instrument zur Erfassung von Strategien der Emotionsregulation, das besonders für den Gebrauch bei großen Stichproben geeignet ist. Die deutsche Version des ERQ weist ausreichende psychometrische Eigenschaften (Reliabilität, Faktorenstruktur, Konstruktvalidität) auf. Aufgrund der querschnittlichen Betrachtung muss hier aber offen bleiben, ob Neubewertung als protektiver und Unterdrückung als ungünstiger Faktor hinsichtlich der psychischen Gesundheit (Depression) gelten können, oder ob Lebensumstände und psychische Symptome schließlich zu einer unterdrückenden Emotionsverarbeitung führen. ; Objective: The German Version of the Emotion Regulation Questionnaire (ERQ) has recently been published. The questionnaire investigates two common emotion regulation strategies (10 items) on two scales (suppression, reappraisal). Major aims of the study were to assess the reliability and factor structure of the ERQ, to determine population based norms and to investigate relations of suppression and reappraisal to anxiety, depression and demographic characteristics.
    Methods: In a representative community study (N=2524) we assessed emotion regulation strategies, anxiety, depression (Hospital Anxiety and Depression Scale), and demographic variables. The mean age of the participants was 49.4 (SD 18.2) years. 55.5% were female. The age-groups were represented in comparable proportions. The representativeness of the sample was ensured by drawings of ADM (Arbeitskreis Deutscher Marktforscher) samples und by comparison with the data of German Federal Statistical Office.
    Results: Confirmatory factor analysis could not fully confirm the original factor structure, we kept the original scaling, except a modification regarding item 8. Internal consistencies were acceptable for the original and the modified version: reappraisal (Cronbach’s alpha = 0.82) and suppression (alpha = 0.76). Norms are presented as percentile scores for age groups and gender. Reappraisal correlated negative with anxiety and depression, whereas we could find a positive relationship of suppression with anxiety and depression. In a linear regression model suppression was predicted by depression, a lower level of education, male gender, and lower income.
    Conclusions: The ERQ is a short instrument to assess emotion regulation strategies economically, e.g. in larger community based studies. We could demonstrate sufficient psychometric properties of the German version of the ERQ: reliability, factor structure and indicators for construct validity. Because of the cross sectional character of our study it remains unclear whether reappraisal is protective and suppression is unfavourable regarding mental health or whether life circumstances and psychic symptoms lead to a suppression of emotions.
    Keywords Medizin, Gesundheit ; Emotion Regulation Questionnaire (ERQ) ; community study ; population based norms ; German version ; Emotion Regulation Questionnaire (ERQ) ; Allgemeinbevölkerung ; Bevölkerungsnormen ; Deutsche Version
    Publishing date 2011-12-21
    Publisher German Medical Science GMS Publishing House; Düsseldorf
    Document type Article ; Online
    ISSN 1860-5214
    ISSN (online) 1860-5214
    DOI 10.3205/psm000078
    Database German Medical Science

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